Diagnóstico de Diabetes Mellitus de novo en pacientes con Síndrome Coronario Agudo
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Fecha
2019
Autores
Varón Suarez, Favio
Campos Del Valle, Carlos
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Editor
Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Introducción: La Diabetes Mellitus tipo 2 (DM2) es una enfermedad metabólica que contribuye a la génesis de la enfermedad coronaria, siendo esta el resultado de varios años de Diabetes no diagnosticada o enfermedad conocida mal controlada.
Objetivo: Demostrar la incidencia de la DM de novo en la población de pacientes mayores de 18 años con síndrome coronario agudo quienes ingresaron al servicio de urgencia en la Clínica de la Costa en el periodo de tiempo comprendido del 1 de noviembre 2016 hasta el 1 mayo del 2017.
Método: Estudio de tipo observacional, analitico, de corte transversal. Los datos fueron acopiados en una matriz de análisis, a los mismos se les calculo las medidas de tendencia central. La población de estudio se caracterizó en 3 grupos: SCA con antecedentes de DM según historia clínica, SCA con DM de novo y SCA sin diagnóstico de DM.
Resultados: De la muestra, el 40% tenían un diagnóstico previo de DM2. El 50% fueron diagnosticados como DM2 durante la atención del SCA. 10% sin DM2. Los pacientes a quienes se hace diagnóstico de DM de novo (DMDN) respecto a la μ-albuminuria, se encontró una asociación positiva y su elevación está en relación al daño vascular.
Conclusiones: El número total de prediabéticos y diabéticos de novo corresponde a el 90%, donde se evidencio daño vascular y como primera manifestación el SCA, demostrando entonces alta tasa no diagnosticada en atención primaria.
Introduction: Diabetes Mellitus type 2 (DM2) is a metabolic disease that contributes to the genesis of coronary heart disease, this being the result of several years of undiagnosed diabetes or poorly controlled known disease. Objective: To demonstrate the incidence of de novo DM in the population of patients over 18 years of age with acute coronary syndrome who entered the emergency department at the Costa Clinic in the period of time from 1 November 2016 to 1 May 2017. Method: Observational, analytical, cross-sectional study. The data were collected in an analysis matrix, the same the central trend measures were calculated. The study population was characterized in 3 groups: SCA with history of DM according to medical history, SCA with de novo DM and SCA without diagnosis of DM. Results: Of the sample, 40% had a previous diagnosis of DM2. 50% were diagnosed as DM2 during the care of the ACS. 10% without DM2. Patients diagnosed with DMDN with respect micro albuminuria to a positive association were found and its elevation is in relation to vascular damage. Conclusions: The total number of de novo prediabetics and diabetics corresponds to 90%, where vascular damage was evidenced and as the first manifestation of ACS, demonstrating a high undiagnosed rate in primary care.
Introduction: Diabetes Mellitus type 2 (DM2) is a metabolic disease that contributes to the genesis of coronary heart disease, this being the result of several years of undiagnosed diabetes or poorly controlled known disease. Objective: To demonstrate the incidence of de novo DM in the population of patients over 18 years of age with acute coronary syndrome who entered the emergency department at the Costa Clinic in the period of time from 1 November 2016 to 1 May 2017. Method: Observational, analytical, cross-sectional study. The data were collected in an analysis matrix, the same the central trend measures were calculated. The study population was characterized in 3 groups: SCA with history of DM according to medical history, SCA with de novo DM and SCA without diagnosis of DM. Results: Of the sample, 40% had a previous diagnosis of DM2. 50% were diagnosed as DM2 during the care of the ACS. 10% without DM2. Patients diagnosed with DMDN with respect micro albuminuria to a positive association were found and its elevation is in relation to vascular damage. Conclusions: The total number of de novo prediabetics and diabetics corresponds to 90%, where vascular damage was evidenced and as the first manifestation of ACS, demonstrating a high undiagnosed rate in primary care.
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Palabras clave
Síndrome Coronario Agudo, Diabetes mellitus, Troponina I, Microalbuminuria, Acute Coronary Syndrome, TroponinI, Microalbuminuria